HomeMy WebLinkAboutPawlowski, Paul y
o�g�FFO��co
ELIZABETH A. NEVILLE � Town Hall, 53095 Main Road
TOWN CLERK 013 P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER y `� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��l .��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3110 N Residential Non-Residential X
Fee $ 25.00 septic x Cesspool
PERMIT ISSUED TO:
Name : PAUL PAWLOWSKI
,address 1: PO BOX 814
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR GENERAL INDUSTRIAL BUILDING
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #C10-02-0014
Name Of Owner PAWLOWSKI, PAUL
-------------------------------
Mailing Address 1 PO BOx 814
------------------------------
------------------------------
City St Zip CUTCHOGUE NY 11935
-------------------- -- ----------
Prope,rty Address 1 260 COX NECK ROAD
------------------------------
------------------------------
City St Zip MATTITUCK NY 11952
-------------------- -- ----------
;ax Map No. section 113.00 block 14 lot 10.000
Cross Street COX NECK LANE
------------------------------
Building Permit Number Cross Reference:
----------------------------------
Issue Date: 1/29/04 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
AW ��S�FFO(,�-co 3,
E -r:TH A.NEVILLE � Gy Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
H Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � �
MARRIAGE OFFICER y !� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �O! �a� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
� 1520
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 15, 2003
Transmitted herewith is a copy of application No. 3145 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Pawlowski
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
/7 03
Dated
r
OFFICE OF THE TOWN CLERK c��FFp[K�.
TOWN OF SOUTHOLD QG`` Application No.
ELIZABETH A.NEVILLE,TOWN CLERK 7�
P.O.BOX 1179 Construction i,-
SOUTHOLD,NEW YORK 11971 =O T
C Alteration
Telephone ,j,�� $10.00 - Residential
(516) 765-1801 1 $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for APP ? �t
CONSTRUCTION or ALTER AT ION PERMIT So .-O%W Tiwn Clerk
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: G��i�EC /,d�c,Ifi���i
L..
/N
APPLICANT ADDRESS: �N� �(
SEPTIC /CESSPOOL
DESCRIPTION OF PR POSED CO TRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTR CTION OR LTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: ��/ L/
� 3
ff - l/ �/ J
OWNER PROPERTY ADDRESSwD&,OX W6
`�TTi ?UG
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section `Block Lot
CROSS STREET: ft ! W&141
(,*4.
I
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sign ure of Applicant
RECEIVED BY: ::� �
' Town Clerk's Office
DATE:
N/F KVCSCn — E -
( PUBLIC WATER )
42
43 44 4546
S 21G 2510 ' E 88 t t' S 23� 56'10" E
149 87'
CJ
4i
`r � '
!
45
RANSI TIt1N !l�
SUFFER � � �
42 4341-2
I
44
i%
{` 3/4" EILUET614E BLENCH
' PARKING AREA 1
y
' 4 ` F 7 8 J 10
43 r_ _ 45
LOT 9 � � 1 li •7 � �l
('A N T } i
TESTNOLE LOCATION z/
1
44 EXPANSION POOL N Q { -51
J'
•r •• `U � ,� Q [rj
gQ' 8' DIA;�X 12' DEEP �� cl
�
LEACONG POOL
PROPOSED
45,
! 220 SQ.FT. N 20'/ B'
BU1Lf4NG !
FIN. FLR EL - 46,`—i''
- 7900 GALLO /
SEPTIC TA
46
1k W ASPHALT
1
PARKING ,,\ ..-46
LJ
2 �
V I 1 J
1 I TERMINATE CURB
DiIwNwARO AT END
I W N
0 00'
N 22 13,30" w
_ !�_. '
i
47
47 E
COX NECK ROAD 47
PUBLIC WATER LINE
12.. DIA �
5AN1 TARY 5Y T .�N _-
S(:,ALE I" — :30'
c)O
DARK BROWN
!JLTY LOAM
1 OL 1
(1"
BROWN
LOAMY ;;LT
E C)(;E ()F KI)L()"1
4 0'
FIN FLR ELEV 4Eit1i AST IRON ('()VER T(1 _
6RAC.If EL 4 S (;RADE TYFIVAL
IE 41 11 H 6 IE 410 — PALE F1ROWN
1 4" �t 1 - FT FINE TO la)AR5E
SAM)
`;EPTv IE 411 t i,w I
TANK
LE Ac-:FiiFdC,
Pt A IL
17
,� TF T i �OL- F
F., !+1, L I L L.
No `,t AL E
rd ALF TE';T r :)LE F'ERFo>♦i,*[) by rAc,(A NAL (;E<i';1:IE►w'E .4/H/(12
TAX MAF' N )
SITE DATA
PHOPOSEn 11'E IITILITY STORAGE BOILOIN(;
In
TOTAL AREA OF �JTE 1,10 ACRES
0
SANITARY DESIGN CALCULATIONS
L ALLOWABLE DENSITY --
TOTAL ACHE AGE = 110 ACRE:i
HYpR(X;EOL(AA(,AL ZONE IV
W AT EH !`3 N'F'L Y - P(1HUC SERVICE
III) ACHES x titin GPD/A(;FiE = f;ht1 r;F'[)
IL DESIGN FLOW
PROPOSED euLOM
TOTAL AREA - 151() SOFT, W }
1 OFFICE AREA LES`; THAN 1`,% I LIJ Q
Z 3
(,ENEHAL ir4xt,;TRIAL SF'A( E S
Sudioik0ountyDeperewastaEHad*81err6ee 25:20 '.;(jFT x oo4 GFv/SOFT = IUGH (410 0
•
Appra vW for Cuo,atrudion E)thesr'I'�a
lls •-` TOTAL DESIGN FLOW = 1001"1 (-4'1) Z
Y
Itebeealae No.�-'l� -�/
w
Pkw >
Project ""' M. SANITARY SYSTEM DESIGN 0
rmi�-v Z-e _ PRL)POSE� BULDfNCi < Z z
These plans have been r:viewed for general cooformanoe with> t
I SEPTI(: TANK G�
County Department of lfealth &rvices standard4 relating to Wider
supply and sewage Giaposal. Regardless of any oI(x)ti (410 x "l F)AYtI FLOW = 11116 ALL ON,
� 3
asisri000, t1 E 1 !NX) GALLON r;AF'Ai-ITY ' 'TI(; TANK J
i4crosiateucies or iack of detail, conatractiaa is required to be is (� - �) c
aOmordance with tbo attached permit andidM andappUp" I LEACHING POOLS � t/)
standards,uaiess spe ifi ally waived by the Department.TW appnvalQ' �� 1()(),8 (41C)/ 1�) (4 T)/S(1 F T = ('71 SO F T z c
espres 8 years km I ISE I - R DIA x Il DEEP LE A('HING P(A}L ()
3. AR 20 Ti)T Al_ CAPACITY 30() `;UFT
Paa
J
NF
r �
n w
ip 057hs
4.
MET MN 4- JAA
�FffFITirEf�MN I/H. f...,.5
i
CAST ON COVER
i
�— Tu i;kA(?E 1 T YP I
taJ
MN p 'sl V 1 �s l• 1'� p
;:
� f, Cl D F2{ L�3 '(' I;� Fj bC- to10
Ell
T
-
{
L „ ,
u � ,Jl �� 4�J v'I i_5J I';; L, 01 � �� w F =
Z -
I! req Ca i�i l tc C KI C I'I O a
1 ® ;n :�4 �4 t U t9 e 1 L1J
j r F 0 N :) ) 4 f P2 it
ala, :virs
..._ {W4 14;'.4,114 t "1 L ti 1 I '
,
{1"� � y1 _yr P_ ty K� 2 l ORAMM
( _d •ice ;4' 4 4 t s '" i:' � i
DATE 131w
-------------
1-C ft kE Ab
t
e 7L�ijtflJiCJrC� -JJ �r \� i#�MR(1WATER
�.1-,.. SHEET
{ yr, RA( FILL MATERIAL TO hE 1.'LEAN
♦ ' 1 `� SAF(1 AI`s!t$iA'✓EL TY{
TANS �!�, 5ANITARY LCAC.HING POOL
1100 b A(.L ON cx I